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Vitality tests assess the vascular supply of a tooth. Vascular supply is generally accepted as the earliest indicator of pulpal health. [17] [18] However, vitality tests have limitations and require strict adherence to correct application techniques. [14] The diagnostic methods to assess the vascular response of the pulp include:
Pulp capping is a technique used in dental restorations to protect the dental pulp, after it has been exposed, or nearly exposed during a cavity preparation, from a traumatic injury, or by a deep cavity that reaches the center of the tooth, causing the pulp to die. [1]
Pulp vitality tests are positive and it is possible to preserve a healthy vital pulp. Irreversible pulpitis, in contrast, is characterised by a constant severe pain ...
How much does the test cost? The Galleri test — which isn’t covered by insurance — doesn’t come cheap. At $949 a pop, it’s out of the price range of most people.
The pulse oximeter test is a more accurate way to test for necrotic pulps as it primarily tests for vascular health of the pulp as compared to its nervous response. [21] This method involves taking measurements of blood oxygen saturation levels, making it non-invasive and an objective way to record patient response regarding pulpal diagnosis. [20]
Maintaining vitality of the pulp tissue in an immature tooth is important to allow continued growth of the tooth. Partial pulpotomy due to a traumatic exposure is also known as Cvek pulpotomy. The procedure involves removal of 1 to 3 mm (0.04 to 0.1 in) of inflamed pulp tissue beneath an exposure to reach the level of healthy pulp tissue.
The health of the dental pulp can be established by a variety of diagnostic aids which test either the blood supply to a tooth (Vitality Test) or the sensory response of the nerves within the root canal to specific stimuli (Sensitivity Test). Although less accurate, sensitivity tests, such as Electric Pulp Tests or Thermal Tests, are more ...
An x-ray of a root canal operation. Before endodontic therapy is carried out, a correct diagnosis of the dental pulp and the surrounding periapical tissues is required. This allows the endodontist to choose the most appropriate treatment option, allowing preservation and longevity of the tooth and surrounding tissues.